CYST-LIKE THROMBI IN THE LEFT VENTRICLE
Abdi Bozkurt, MD, Murat Çayli, MD, Esmeray Acartürk, MD Çukurova University Medical School, Department of Cardiology, Adana
A 64-year old man was admitted to hospital due to ortophnea. Ha had congestive heart failure and dia-betes mellitus type II for the past 5 years. Arterial blood pressure was 90/70 mmHg, pulse rate 88 beat/minute. Rales on basal lung fields were heard. Electrocardiogharpy showed pathologic Q waves in VI-4 derivations and cardiomegaly was found on telecardiogram. Transthoracic echocardiogharpy revealed dilata-tion of all cardiac chambers and diffuse left ventricular hypokinesis. There were cyst-like masses 1x1.5 cm and 3x3.5 cm in size clearly seen on the apico-lateral and mid-septal regions of the left ventricle (Figure 1). These masses were cansidered as thrombi. The patients was treated with heparin followed by warfarin 5 mg/daily. Thrombi disappeared on the 7th day of the treatment (Figure 2).
Dr. Abdi Bozkurt
Çukurova University, Medical Faculty, Department of Cardiology,
01330, Balcal›, ADANA, TURKEY Tel: 0 322 338 70 17
Fax: 0 322 338 70 17
OR‹J‹NAL GÖRÜNTÜ
Anadolu Kardiyoloji Dergisi
Ana Kar Der, Cilt: 1, Say›: 2, Mart 2002
Anatol J Cardiol, Vol: 1, No: 2, March 2002 T h e A n a t o l i a n J o u r n a l o f C a r d i o l o g y
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Figure 1: Cyste-like thrombi are seen on the apical four (A) and two chamber views (B) of the left ventricle (arrows).
A B
Figure 2: Apical four- (A) and two-chamber views (B) of left ventricle show disappearance of masses (thrombi) after 7 days of treatment with anticoagulants.
